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1942336672
AMY LOUISE BLACK
CHICAGO, IL
NPI
1942336672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL AB46220100P)
Enumeration Date
2007-02-26
Last Update Date
2015-09-25
Business Address
Ms. AMY LOUISE BLACK DT
6448 N OAK PARK AVE 2N
CHICAGO, IL 60631-2018
Phone number: 847-347-6283
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Mailing Address
Ms. AMY LOUISE BLACK DT
6448 N OAK PARK AVE 2N
CHICAGO, IL 60631-2018
Phone number: 847-347-6283
Copy
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